Comagine Health Provider Portal — Through June 2, 2023
The Comagine Health Provider Portal is a web-based application for electronically submitting utilization management review requests.
We are launching an upgraded provider portal on June 5, 2023. Use these materials through June 2. Use the updated materials in the next section beginning June 5.
Getting Started: Register
- Download the Comagine Health Provider Portal Registration Packet.
- Complete the following forms (in the packet) and send them to Comagine Health:
- Executive Agreement
- Provider Portal Administrator Agreement
- Provider Portal Administrator Registration
We will set up your account and email login information to you.
Resources
- User Guide (Aug. 25, 2016)
- Administrator Guide (Aug. 15, 2017)
Comagine Health Provider Portal — Beginning June 5, 2023
The Comagine Health Provider Portal is a web-based application for electronically submitting utilization management review requests.
We are launching an upgraded provider portal on June 5, 2023. Do not use these materials until June 5.
Getting Started: Register
- Download the Comagine Health Provider Portal Registration Packet.
- Complete the following forms (in the packet) and send them to Comagine Health:
- Executive Agreement
- Provider Portal Administrator Agreement
- Provider Portal Administrator Registration
We will set up your account and email login information to you.
Guides
- User Guide (June 5, 2023)
- Administrator Guide (June 5, 2023)
- Quick Start Guide — Inpatient Requests
- Quick Start Guide — Outpatient Requests
- Quick Start Guide — Dental and Orthodontic Requests
- Quick Start Guide — Acute Care Hospital Requests
- Quick Start Guide — SUD RTF Requests
- Quick Start Guide — DME Requests
- Quick Start Guide — Home Health Requests
- Quick Start Guide — LTACH Requests
Training
Comagine Health Provider Portal Upgrade Training Webinars (May 2023)
Recordings | Slides
Provider Notices
- DME Pricing Update (July 1, 2021)
- DHCF Transmittal 21-30: Update of Select DME Fee Schedule Rates
- DHCF Transmittal 21-21: Dental Prior Authorizations
- DHCF Transmittal 17-09: Out-of-State Nursing Facility Placement and Review Procedures
- Eligibility for Medicaid Long-Term Care Nursing Facility Services
SUD Residential Treatment Facility
- Chapter 63 Training Part 1 — Certification Standards for Substance Use Disorder Treatment and Recovery Providers
- Chapter 63 Training Part 2 — Certification Standards for Substance Use Disorder Treatment and Recovery Providers
- Final Rulemaking Chapter 63 — Certification Standards for Substance Use Disorder Treatment and Recovery Providers
- Substance Abuse Disorder Residential Treatment Provider Quick Reference Guide
- Substance Abuse Disorder Residential Treatment Facility Directives
- DBH Directives to Comagine Health Six-Month Rollout
Provider Manual & Appendices
- Appendix D - Dental Utilization Review Criteria Guidelines January 2023
- D.C. Medicaid Provider Manual is being updated.
- 719A: Prior Authorization Request Form
- 1728: Intermediate Care Facility/Nursing Facility Level of Care Form
- Cone Beam Computed Tomography in Endodontics — AAE and AAOMR Joint Position Statement
Checklists & Forms
- Child & Adolescent Supplemental Security Income Program Referral
- DME, Vision and Hearing Service Providers Services Checklist
- EPD Waiver Services Checklist
- HLD Scoresheet
- Hospice Election and Physician Certification Form
- Hospice Termination Form
- ICF/IID Recertification Checklist and Forms
- LTCAF/Rehab/SNF: Info Needed for Pre-Admission or Admission Review
- Orthodontic Continuation of Care Submission Form